96th DOG Annual Meeting, 1998

K271

LATERAL CANTHAL SLING AND MEDIAL CANTHOPLASTY FOR THE CORRECTION OF PARALYTICAL ECTROPION

A. v. Rückmann, K.-G. Schmidt, J.R.O. Collin, K.W. Jacobi

Many procedures have been described for the correction of paralytical ectropion, the most common of which are tarsoraphy and variants, central or paracentral full thickness wedge resection and more recently the lateral canthal sling procedure. The purpose of this study was to compare the operative results of the above mentioned techniques.

Method: 52 Patients (47-72 years) with paralytical ectropion were operated between January 1995 and December 1997 using the lateral canthal sling and medial canthoplasty procedure. 16 patients had ectropion reccurrence after tarsoraphy, central or paracentral full thickness wedge resection, 9 patients had after tarsoraphy, central or paracentral full thickness wedge resection epiphora only and in 13 patients the cosmetic result after the two above mentioned techniques was not satisfactory. The remaining patients had no previous operations.

Results: The paralytical ectropion could be corrected in all patients using the lateral canthal sling and medial canthoplasty procedure. Epiphora was diminuished in 41 patients (78%). Cosmetic results after lateral canthal sling and medial canthoplasty were better when compared to tarsoraphy an central or paracentral full thickness wedge resection.

Conclusion: The lateral canthal sling and medial canthoplasty procedure gives good functional and cosmetic postoperative results. Compared to tarsoraphy and central or paracentral full thickness wedge resection it is more suitable for the treatment of paralytical ectropion.

Moorfields Eye Hospital, London, U.K.

Department of Ophthalmology, University of Giessen, Germany


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